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Approach to Improving Safety
- Communication Improvement 47
- Culture of Safety 21
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Education and Training
- Students 3
- Error Reporting and Analysis 37
- Human Factors Engineering 23
- Legal and Policy Approaches 20
- Logistical Approaches 6
- Quality Improvement Strategies 39
- Teamwork 16
- Technologic Approaches 17
Safety Target
- Device-related Complications 12
- Diagnostic Errors 7
- Discontinuities, Gaps, and Hand-Off Problems 7
- Fatigue and Sleep Deprivation 4
- Identification Errors 1
- Medical Complications 27
- Medication Safety 60
- MRI safety 1
- Nonsurgical Procedural Complications 5
- Psychological and Social Complications 6
- Surgical Complications 19
- Transfusion Complications 1
Clinical Area
- Medicine 139
- Nursing 8
- Pharmacy 18
Target Audience
Search results for "Education and Training"
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Grant > Government Resource
Improving Patient Safety Through Learning Laboratories.
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
Collaborative strategies can enable individuals and organizations to learn from each other to support patient safety improvement. This fact sheet summarizes 13 projects launched through Agency for Healthcare Research and Quality funding designed for rapid deployment through team-focused learning laboratories to test and apply systems engineering approaches to improve safety in health care.
Web Resource > Multi-use Website
Institute for Patient Safety.
University of North Texas Health Science Center.
Regional programs for patient safety seek to provide communities with resources targeted to distinct needs and populations while addressing key areas of concern. This institute will host an annual conference, educational opportunities, and a research program to develop innovations in patient safety.
Web Resource > Government Resource
AHRQ Impact Case Studies: Patient Safety.
Agency for Healthcare Research and Quality.
AHRQ supports the development and testing of various resources for health care organizations to implement as safety improvement strategies. This collection of case studies highlights AHRQ-funded patient safety tools, including the Comprehensive Unit-based Safety Program, Re-Engineered Discharge Toolkit, and TeamSTEPPS program, to document their successful use in the field.
Web Resource > Multi-use Website
Safer Clinical Systems.
London, UK: Health Foundation.
This Web site highlights the work of a United Kingdom initiative launched in 2008 to apply safety improvement tactics from high-risk industries to care services. The program engages teams to identify problems in care delivery, develop innovations, and then test and evaluate the new approaches. The site provides access to project reports, overall guidance, and analysis of what was learned.
Web Resource > Multi-use Website
Injection Safety.
World Health Organization.
Poor injection practices contribute to health care–associated infections. This Web site provides resources related to a global campaign to enhance the safe use of injections through training, communication, policy development, and syringe design.
Audiovisual > Audiovisual Presentation
Raising Concerns: Speaking Up About Patient Safety.
Health Education England. London, England: National Health Service; February 2015.
Staff willingness to speak up when they are concerned about unsafe behaviors and conditions is a hallmark of a safety culture. This video uses vignettes to demonstrate challenges to speaking up in health care, how open communication can prevent errors, strategies to raise concerns on the frontline, and the value of checklist use in supporting conversation.
Web Resource > Multi-use Website
Society to Improve Diagnosis in Medicine.
Society to Improve Diagnosis in Medicine.
The Society to Improve Diagnosis in Medicine (SIDM) is a not-for-profit organization that promotes reducing diagnostic errors through collaboration, research, and education. SIDM also hosts the Coalition to Improve Diagnosis, a multidisciplinary effort specifically formed to raise awareness of diagnostic error across the health care industry.
Web Resource > Multi-use Website
Irish Society for Quality & Safety in Healthcare.
PO Box 6448, Dublin 9, Ireland.
This society supports the collaborative development of educational programs, training opportunities, and research efforts that contribute to the improvement of health care safety in Ireland.
Web Resource > Government Resource
Partnership for Patients.
- Classic
Washington, DC: US Department of Health and Human Services.
Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals. Its emphasis on partnerships (between government, provider organizations, payers, and patients) echoes certain Institute for Healthcare Improvement (IHI) campaigns, developed by Medicare director Dr. Donald Berwick while he led IHI. The Partnership focuses on skill building, demonstration projects, and collaboratives. Through 2019, the Hospital Improvement and Innovation Networks will work to achieve a 20% decrease in overall patient harm and a 12% reduction in 30-day hospital readmissions as a population-based measure from the 2014 baseline. In September 2015, the program awarded $110 million to 17 national, regional, or state hospital associations and health system organizations. CMS estimates that 2.1 million fewer patients were harmed and nearly $20 in health care costs were saved from 2010 to 2014. Medicare hopes these recent monetary awards will continue to drive this momentum on improving patient safety.
Web Resource > Multi-use Website
San Diego Center for Patient Safety.
350 Cedar Street, San Diego, CA, 92101.
The San Diego Center for Patient Safety (SDCPS) consists of a multidisciplinary team and an associated research infrastructure. The SDCPS provides for patient safety education and supports the introduction of safety solutions into participating health care systems and community practices.
Audiovisual
Healthcare 411: medication safety toolkit.
Bethesda, MD; Agency for Healthcare Research and Quality. February 25, 2009.
This interview introduces an AHRQ-funded PIPS toolkit to help small and rural hospitals implement medication safety initiatives.
Book/Report
Advances in Patient Safety: New Directions and Alternative Approaches.
- Classic
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).
The 115 articles freely available in this latest issue of AHRQ's Advances in Patient Safety represent the state of the art in patient safety. Serving as an update and extension to the prior volume, the articles are grouped into four major content areas—assessment, culture and redesign, performance and tools, and technology and medication safety—and are freely available online through the link below.
Audiovisual
Tools, Methods, and Techniques for Improving Patient Safety: Patient Safety Improvement Corps Training DVD.
Rockville, MD: Agency for Healthcare Research and Quality; 2007.
This DVD provides training modules for health care professionals regarding systems-oriented, institutional improvements in patient safety.
Web Resource > Multi-use Website
Association for Professionals in Infection Control and Epidemiology.
1275 K St, NW, Suite 1000, Washington, DC 20005.
This Web site offers news articles, event listings, and information on minimizing health care-associated infections for both professional and lay audiences.
Web Resource > Government Resource
National Comparative Audit of Blood Transfusion.
National Blood Service Hospitals.
This Web site includes reports from audits on compliance with blood transfusion guidelines in the United Kingdom.
Book/Report
Advances in Patient Safety: From Research to Implementation.
- Classic
Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1-4).
With 4 volumes and 140 articles (all of which are freely available through the link below), this expansive collection of literature illustrates the progress made since the 1999 Institute of Medicine's report, To Err is Human: Building a Safer Health System. The efforts represent a successful collaboration between the Agency for Healthcare Research and Quality and the Department of Defense-Health Affairs in meeting the challenge of improving patient safety knowledge, research, and implementation.
Web Resource > Multi-use Website
Emergency Medicine Patient Safety Foundation.
11760 Atwood Road, Suite 5, Auburn, CA 95603.
The purpose of the Emergency Medicine Patient Safety Foundation is to identify issues affecting patient safety in the emergency department and develop methods to support the delivery of safe care by physicians, allied health care personnel, and hospitals.
Web Resource > Multi-use Website
University of Michigan's Patient Safety Enhancement Program (PSEP).
University of Michigan Health System, 1500 E. Medical Center Dr., Ann Arbor, MI 48109. Phone: (734) 936-4000.
The University of Michigan's Patient Safety Enhancement Program (PSEP) aims to improve the quality of patient care by conducting research that focuses on methods to prevent adverse patient outcomes.
Audiovisual
Patient Safety Huddle.
VA National Center for Patient Safety.
The Department of Veterans Affairs consistently contributes to innovation and improvement efforts in patient safety. This podcast series offers short interviews with experts in the field that explore topics such as the VA National Center for Patient Safety leadership development program and a checklist for use in mental health facilities.
